1/21. Complete transection of the median and radial nerves during arthroscopic release of post-traumatic elbow contracture.Arthroscopic debridement and capsular release was performed in a 57-year-old woman because of post-traumatic stiffness in the dominant right elbow joint. During this procedure, the median and radial nerves were completely transected. A few recent reports of small series have described encouraging results after arthroscopic capsular release of post-traumatic elbow contracture, but the present case demonstrates the inherent risk of damage to neurovascular structures.- - - - - - - - - - ranking = 1keywords = post-traumatic (Clic here for more details about this article) |
2/21. Incidental gallbladder cancer at laparoscopy: a review of two cases.Early peritoneal seeding and trocar site metastasis from gallbladder cancer have been reported after laparoscopic cholecystectomy. Nevertheless, the role of laparoscopy in gallbladder cancer remains controversial. Two cases of early recurrence of carcinoma of the gallbladder after laparoscopic cholecystectomy are described. In the first case, the use of a gasless technique did not prevent an early, diffuse peritoneal dissemination of the disease. In the second case, despite the use of a retrieval bag to extract the gallbladder, multiple metastases around the gallbladder bed and local peritoneal seeding developed. These cases demonstrate that factors other than bile spillage, CO2 inflation, and the use of a retrieval bag are responsible for early dissemination of gallbladder cancer.- - - - - - - - - - ranking = 2.3162412831181E-5keywords = cancer (Clic here for more details about this article) |
3/21. Traumatic perilymphatic fistulas in children: etiology, diagnosis and management.Post-traumatic perilymphatic fistulas have been described following ear and temporal bone injury, particularly in the setting of temporal bone fractures. However, indications for exploratory surgery in cases of trauma without temporal bone fracture are vague and not well described. We describe three children who presented with symptoms suggestive of perilymphatic fistula (PLF) without an associated temporal bone fracture: two with penetrating tympanic membrane injuries and one with blunt temporal bone trauma. All had symptoms of hearing loss and vestibular disturbance. Two of the children cooperated with ear-specific audiologic assessment, which demonstrated sensorineural hearing loss (SNHL) on the traumatized side. The third child showed audiometric evidence of a SNHL on the injured side, but due to his age, the degree of severity of the SNHL was unable to be appropriately addressed prior to the patient being surgically managed. All three children underwent exploratory surgery and were found to have bony defects in the region of the oval window. All were repaired with fascial grafts to the oval and round windows with complete resolution of vestibular symptoms. However, two of the three patients with documented post-operative audiograms suffered from persistent SNHL on the injured side. We conclude that exploratory middle ear surgery is indicated in patients suffering from blunt or penetrating temporal bone or middle ear trauma who demonstrate persistent vestibular symptoms, sensorineural hearing loss or radiographic evidence of oval window pathology. As this is a limited number of patients, a larger series may be warranted to study the actual incidence of post-traumatic PLF in the child with persistent hearing loss and vertigo after head or ear trauma.- - - - - - - - - - ranking = 0.16666666666667keywords = post-traumatic (Clic here for more details about this article) |
4/21. Percutaneous management of concomitant post-traumatic high vertebrovertebral and caroticojugular fistulas using balloons, coils, and a covered stent.PURPOSE: To describe the endovascular management of vertebrovertebral and caroticojugular fistulas in the same patient using a combination of endovascular techniques including covered stent placement in the high extracranial internal carotid artery. CASE REPORT: A 22-year-old man presented with ipsilateral vertebrovertebral and caroticojugular fistulas at the C1 level several weeks after sustaining a solitary penetrating knife injury below the right ear. The right vertebral artery was sacrificed after a failed endovascular attempt to close the vertebrovertebral fistula. The caroticojugular fistula was treated with a self-expanding covered stent (Wallgraft) with exclusion of the fistula and preservation of flow through the carotid artery. CONCLUSIONS: Preservation of the extracranial arteries should be the preferred goal of treatment in traumatic extracranial arteriovenous fistulas. The use of covered stents in the extracranial vessels can accomplish this goal.- - - - - - - - - - ranking = 0.66666666666667keywords = post-traumatic (Clic here for more details about this article) |
5/21. Delayed post-traumatic prostatic-urethrorectal fistula: transperineal rectal sparing repair - point of technique.We describe the outcome and management of an unusual and interesting case of delayed post-traumatic prostatorectal fistula in a 40-year-old man. The fistula was repaired successfully via transperineal access without rectal or sphincteric transgression. We found the transperineal surgical approach simple, effective and useful in approaching the prostatorectal region for rectourinary fistulas. The transperineal approach is useful and should be considered in such select cases. We describe our technique that may be beneficial to many urologists.- - - - - - - - - - ranking = 0.83333333333333keywords = post-traumatic (Clic here for more details about this article) |
6/21. Very unusual case of post-traumatic chylothorax.chylothorax is a rare disease caused by both traumatic and nontraumatic events. chylothorax can cause cardiopulmonary abnormalities and significant nutritional, metabolic, and immunologic consequences. We present an exceptional case of chylothorax due to penetrating chest trauma. The diagnosis was made by thoracentesis. Conservative management with nothing by mouth and total parenteral nutrition failed; therefore the patient needed surgical closure of the duct leak.- - - - - - - - - - ranking = 0.66666666666667keywords = post-traumatic (Clic here for more details about this article) |
7/21. delayed diagnosis of post-traumatic arteriovenous fistula from trip wire-detonated booby trap in vietnam.Traumatic arteriovenous fistulas are very common, especially with penetrating injuries. Undiagnosed traumatic arteriovenous fistulas for long periods, as in this case, however, are less frequent because the patient often experiences clinical manifestations associated with arteriovenous shunting. This patient denied any history of problems that might be associated with this arteriovenous shunting. He was operated on for the arteriovenous fistula and had an uneventful postoperative course.- - - - - - - - - - ranking = 0.66666666666667keywords = post-traumatic (Clic here for more details about this article) |
8/21. Intrapericardial infusion of 5-fluorouracil. An unusual complication of a Hickman catheter.Venous access devices (VAD) have become an important tool in the management of patients with cancer. Multiple complications can occur as a consequence of insertion of a VAD. The authors report a case of a Hickman catheter perforating the wall of the superior vena cava into the pericardium, resulting in accidental intrapericardial infusion of 5-fluorouracil (5-FU). pericarditis and cardiac arrhythmias developed, but the patient did not have cardiac tamponade. She recovered from the event without apparent chronic cardiac dysfunction.- - - - - - - - - - ranking = 3.3089161187401E-6keywords = cancer (Clic here for more details about this article) |
9/21. Bladder perforation resulting from the use of the neodymium:YAG laser.Complications resulting from the use of the neodymium:YAG (Nd:YAG) laser to treat superficial bladder cancer are uncommon and are usually associated with abnormally high laser power outputs. We report a case of bladder perforation in a human attributed to the Nd:YAG laser used at a low power setting and comment on those factors that contributed to this complication.- - - - - - - - - - ranking = 3.3089161187401E-6keywords = cancer (Clic here for more details about this article) |
10/21. Aneurysmatic dilatation of popliteal and femoral artery due to long-standing traumatic arteriovenous fistula.A 65-year-old woman presented with an extensive femoropopliteal aneurysm discovered after a long-standing (24 years) post-traumatic arteriovenous fistula (AVF). Her complaints began after trauma. All arterial dilatations discovered during the course of an AVF must be treated because of the risk of rupture. With the advent of arterial reconstructive procedures, the surgical approach to popliteal aneurysm became and remains excision and graft interposition or by-pass graft with concomitant aneurysm ligation. Of all available graft material the autogenous saphenous vein remains the best material for arterial reconstruction. The diagnostic technics, therapeutic procedures and possible complications are discussed with literature review. The etiology of aneurysm that develop proximal to AVF is reviewed.- - - - - - - - - - ranking = 0.16666666666667keywords = post-traumatic (Clic here for more details about this article) |
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